Rey J M, Stewart G W, Plapp J M, Bashir M R, Richards I N
Aust N Z J Psychiatry. 1987 Mar;21(1):75-80. doi: 10.3109/00048678709160902.
Lists of stressors recorded for 159 adolescents and rated by two judges showed poor agreement on stressor identification but good concordance for the most severe stressor identified for each patient. Good agreement was also found for a short checklist of chronic stressors. When individual stressors were rated by four judges for 27 patients, global Axis IV ratings were largely determined by the rating of the most severe event. Those results suggest that Axis IV can be made more reliable and easier to use by concentrating on the identification of severe events.
记录了159名青少年的应激源清单，并由两名评判员进行评分，结果显示在应激源识别方面一致性较差，但在为每位患者确定的最严重应激源方面一致性较好。对于一份简短的慢性应激源清单也发现了良好的一致性。当由四名评判员对27名患者的个体应激源进行评分时，总体轴IV评分在很大程度上取决于最严重事件的评分。这些结果表明，通过专注于识别严重事件，轴IV可以变得更可靠且更易于使用。
